Individual
JENNIFER LENORE NUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178009102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178009102
STATE LICENSE
IL
Enumeration date
07/12/2013
Last updated
07/12/2013
Update your record
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